Type of disability
Disability type and the level of support required can explain some of the variation in participation seen across different populations.
Every person with disability is unique. People can experience similar impairments very differently, and will have individual backgrounds, life experiences, and perspectives, interacting with social and cultural interpretations of (dis)ability. 2, 7, 21, 63, 68
The Australian Bureau of Statistics (ABS) Survey of Disability, Ageing and Carers (SDAC) considers that a person has disability if they have at least limitation, restriction, or impairment that restricts everyday activities and has lasted, or is likely to last, for at least 6 months. Severity of disability is defined by whether a person needs help, has difficulty, or uses aids or equipment with self-care, mobility, and communication, and is grouped for mild, moderate, severe, and profound limitation. The groups identified in the SDAC are: 109, 110
- sensory and speech (sight, hearing, speech)
- intellectual (difficulty learning or understanding)
- physical (includes breathing difficulties, blackouts, seizures or loss of consciousness; chronic or recurring pain or discomfort; incomplete use of arms or fingers; difficulty gripping or holding things; incomplete use of feet or legs; restriction in physical activities or work; and disfigurement or deformity)
- psychosocial (including nervous or emotional conditions, mental illness, memory problems, and social or behavioural difficulties)
- head injury, stroke or acquired brain injury
- other (restrictions in everyday activities due to other long-term conditions or ailments)
For 77% of people with disability, the main condition (i.e. causing the most problems) is physical. For the remaining 23%, the main condition is mental or behavioural, including: intellectual and developmental, such as intellectual disability and autism (6.5%); mood affective, such as depression (3.8%); dementia and Alzheimer’s disease (2.6%). 35, 109
Disability type and the level of support required can explain some of the variation in participation seen across different populations and research projects. In a 2017 Australian study, the level of support needed by participants, was the most significant indicator of whether individuals were likely to participate, with those with higher support needs, less likely to participate. 63
Data limitations
Limitations on data for persons with disability often include inconsistent data sources, small sample sizes, and mainstream data sources not including a disability ‘flag’. These limitations often lead to an inability to report on the experiences of people from different disability groups, as well as intersectional population groups (e.g. cultural or socio-economic status). 111
From a sport perspective, this means it can be difficult to identify benefits, facilitators, barriers, good practice policies, and programs for people from different disability groups, or those with differing levels of limitation (e.g. research on people with intellectual disabilities, may focus on people with moderate impairment versus those with more severe impairments, or research on physical versus psychosocial disability groups). 7, 33, 63, 111, 112
By increasing the availability of quality data and our understanding of different structural, social, and intersectional factors that may be impacting participants, the sports industry can help improve participation rates and experiences for all. 35, 63
Resources and reading
- Neurodivergence: we’re All Different, we’re All Wired Differently. So How Does that Translate into your Coaching?, opens in a new tab Henry Breckenridge, Leaders Performance Institute, (1 May 2024). The term ‘neurodivergence’ can often be perceived to be a blocker in sport, but as Dr Julie White, Head of Learning Support at Millfield School, put it to our members at Leaders Meet: Teaching and Coaching, “neurodivergence is when there are differences from the ‘neurotypical’ as opposed to perceived weaknesses”. The term ‘neurodivergence’ can often be perceived to be a blocker in sport, but as Dr Julie White, Head of Learning Support at Millfield School, put it to our members at Leaders Meet: Teaching and Coaching, “neurodivergence is when there are differences from the ‘neurotypical’ as opposed to perceived weaknesses”.
- Celebrating neurodivergence in sport, opens in a new tab, Caragh McMurtry, Sport England, (22 March 2024). To mark Neurodiversity Celebration Week, the founder and director of Neurodiverse Sport explains why being inclusive, nurturing and celebrating our differences can benefit every level of competition.
- Blind Sports Australia releases inaugural sport participation data, opens in a new tab, Blind Sports Australia, (12 October 2022). Findings reveal the motivations and barriers to people participating in sport and show opportunities such as boosting female blind sport participation are a priority. While transportation and travel stand out as the single largest obstacle for a person with a vision impairment to play sport.
- Among several reported barriers to participation, the largest is transport. 94% of people who are vision impaired need transportation to participate in a sport, and the majority (59%) need the support of family, friend, or support worker to get there. Travelling by car is the most popular option (52%), followed by public transport (41%), and taxi services (37%).
- Males are much more likely to play blind cricket (20%) than females (7%). The same story applies in coaching – across all sports males more often coach at 21%, compared to 9% of females – but this number drops to just 5% of female coaches who are blind or have a vision impairment.
- Across the board, people’s motivations for participating in sport are similar with both groups citing health/fitness, competition, socialising/making new friends and connections to the community. People with a vision impairment are more likely to play sport to learn new skills, pursue high performance sport/competition and meet new people.
- Altona Roosters help James Barling achieve his dream of playing rugby league, opens in a new tab, Tom Maddocks, ABC, (19 July 2022). James Barling lives with ADHD and autism, which has made his lifelong dream of playing rugby league difficult. Barling played his first game for Victorian club Altona Roosters and scored three tries. Barling's participation is hoped to spread greater awareness and understanding of people with autism. That opportunity arose when opposition club Northern Thunder heard of Barling's situation and proposed a way of getting him involved in their third-division match. They struck a "gentleman's agreement" whereby Barling would play but with his wellbeing and safety in mind.
- Supporting kids with cerebral palsy go for gold with cycling, opens in a new tab, Dr Rachel Toovey, University of Melbourne Pursuit, (17 September 2021). Specialist programs led by physiotherapists that teach children with cerebral palsy how to ride boost the odds of success by ten times. We all know that physical activity is important for our health and wellbeing. But for kids with CP, it’s not always as easy as jumping on a bike for a ride. Our recently published study, opens in a new tab provides new evidence-based guidance to help kids with CP to get cycling. We found that the physiotherapist-led bike skills group program was better than the parent-led home program for supporting kids with CP to achieve their goals. Kids in the physiotherapist-led program had 10 times greater odds of achieving their goals in the program week and four times greater odds of retaining this achievement three months later.
- Adapting Sport and Physical Activity for Individuals with IDD: Highlighting a Decade of Inclusion and Outcomes, opens in a new tab, Jordan Deneau, Kelly Carr, Chad Sutherland, et.al., SIRC, (4 October 2020). Adults with intellectual and developmental disability (IDD - including autism spectrum disorder, developmental delay) tend to engage in lower levels of physical activity compared to the typically developing population, and thus experience poor health and physical fitness. Fortunately, evidence indicates that increasing active leisure in this population can enhance their physical, social, and emotional wellbeing. Beyond benefits at the individual level, participation may also challenge prejudicial beliefs about the abilities of people with IDD, stimulating social change toward greater inclusion. Many barriers to physical activity for these individuals, including physiological factors, lack of self-confidence, transportation issues, financial limitations, lack of awareness of options, negative supports from caregivers and decision-makers, and the absence of clear policies for engaging in regular activity in residential and day service programs. Key facilitators to physical activity may include enjoyment, support from others, social contact and friendship, familiarity, and a consistent routine of daily activities.
- Neurodiverse Sport, opens in a new tab [UK] is a not-for-profit organisation, founded by Caragh McMurtry her husband Michael Mottram in 2022 in response to their lived experience of neurodivergence in sport. Caragh is a former Great Britain rower, Tokyo Olympian and Autistic, and Michael (Mikey) is a former Great Britain rower, current elite gravel cyclist, Dyslexic, Dyspraxic and ADHD - together they have over 30 years experience of neurodivergence and high performance sport. Services include a blog with articles about neurodiverse athletes and issues in sport, research partnerships, and workshops.
- People with disability in Australia: prevalence of disability, opens in a new tab, Australian Institute of Health and Welfare, (23 April 2024). Around 1 in 6 (18%) people in Australia – or about 4.4 million – have disability. This is also known as ‘disability prevalence’. Another 22% (or 5.5 million) of people in Australia have a long-term health condition but no disability, and the remaining 60% (or 14.8 million) have no disability or long-term health condition. Nearly one-third (32%) of people with disability – about 1.4 million or 5.7% of the Australian population – have severe or profound disability. This means sometimes or always needing help with daily self-care, mobility or communication activities, having difficulty understanding or being understood by family or friends, or communicating more easily using sign language or other non-spoken forms of communication. While the number of people with disability has risen (from about 4.0 million in 2009), the prevalence rate has decreased over this period (from 18.5% in 2009 to 17.7% in 2018, or from an age-standardised rate of 17.7% in 2009 to 16.1% in 2018). This indicates that the increase in the number of people with disability has been slower than the increase in the total population.
- Disability, Ageing and Carers, Australia: Summary of Findings, opens in a new tab, Australian Bureau of Statistics, (24 October 2019). This release includes analysis and data cubes focusing on national level data as well as relevant explanatory material
- Understanding barriers to sport participation (2010), Victorian Health Promotion Foundation, VicHealth report (2010). To encourage greater participation, VicHealth was looking to gain greater understanding of the barriers to participation and ongoing involvement in sport among target groups, including people with disability. In depth interviews were undertaken with participants in the 2009 Australian Masters Games (AMG) with the preparation of ‘case studies’ for each participant. Three interviews were undertaken with participants in the disability segment. Some key insights from the initial discussions included:
- The participants spoken to within the scope of this research included people with both intellectual and physical disabilities. What became obvious are the differences in experience, motivations and aspirations across people with different disabilities. Their previous and current involvement in sport differed markedly as did their intentions in relation to future participation. It will be important that sporting bodies acknowledge the range of expectations and capacities that exist across the disability segment. There is no ‘one size fits all’ solution for this segment of the population.
- Physical limitations are a major impediment for those with a physical disability. For the people involved in the research, this related specifically to access and mobility capabilities. Access to grounds, facilities, training, transport and even areas where participants socialised created potential barriers. There were further indications that special or modified equipment required for this segment to be involved actively in sports creates yet a further hurdle to participation.
- People with intellectual disabilities pointed to the structure of the activities as a significant hurdle. Creating activities (based on the sport framework) that accommodated people with intellectual disabilities (alternate forms of the game, other participatory variants) was seen to be of fundamental importance for this segment.
- Social dimensions and opportunities presented through sport were cited as a key attraction. Sport is seen to provide opportunities to both participate with friends and meet and establish new friendships.
- While customarily ‘come and try’ days have been sport specific, providing opportunities where people can experience or sample a variety of sports may work to attract people who are looking for a sporting opportunity but haven’t decided what they want to do or don’t know what options are available to them.
- Barriers and Facilitators for Physical Activity Among Children and Youth With Autism—A Scoping Review, opens in a new tab, Ingrid Okkenhaug, Magnus Rom Jensen, Solvor Solhaug, Journal of Physical Activity and Health, Volume 21(10), pp.965-979, (2024). The purpose of this scoping review was to systematically synthesize barriers and facilitators for physical activity (PA) among children and youth with autism spectrum disorders (ASD) across the socioecological model. Fifty-four studies published from 2008 to 2024 were included. Among the included studies, 57% included the perspectives of children and youth with ASD alone or together with proxies (e.g, parents, teachers, and coaches), while 43% included only the perspectives of proxies. The analysis led to 2 main categories of barriers and facilitators, those unique to children and youth with ASD, and those similar to what had been identified through research on children and youth, both typically developing and with other disabilities. This comprehensive scoping review shows the complexity of factors contributing to barriers and facilitators for PA among children and youth with ASD, and highlights both the factors unique to this population and more general factors affecting PA participation.
- Female athletes with ADHD: time to level the playing field, opens in a new tab, Collins K, British Journal of Sports Medicine, (30 April 2024). The significance of attention deficit hyperactivity disorder (ADHD) in athlete populations has received much attention over the last decade. ADHD is the most commonly diagnosed neurodevelopmental disorder, with a global prevalence of 5.9%–7.1% in adolescents and a male predominance ranging from 1.8 to 3.5:1. The prevalence may be even higher in athlete populations, at 7%–8%, with a similar sex ratio (7%–8% males vs 4% females).3 Certain ADHD traits that are well suited to the sporting context, such as quick movements, reactive decision-making, a tendency towards hyperfocus on enjoyable activities and a positive effect of physical activity on ADHD symptoms, may explain the apparent preponderance of ADHD in athletes. However, no studies have evaluated ADHD and how it specifically or directly affects the female athlete. ADHD can impact recovery from concussion, be influenced by hormonal fluctuations and affect mental health and social relationships, particularly in females. The purpose of this editorial is to raise awareness of the often-overlooked topic of ADHD in female athletes and encourage more investigation in this field.
- Effects of Powerchair Football: Contextual Factors That Impact Participation, opens in a new tab, Aurelien Vandenbergue, J.P. Barfield, Said Ahmaidi, et al., Adapted Physical Activity Quarterly, Volume 41(1), pp.67-87, (2024). The aim of this study was to identify contextual factors that negatively affect activity and participation among powerchair football (PF) players. Thirty-seven semistructured interviews were conducted with PF players (Mage = 27.9 ± 8.2 years) in France (n = 18) and the United States (n = 19). Participants reported acute back and neck pain as the primary morbidities resulting from PF participation, with sustained atypical posture in the sport chair as the primary cause. Competition-related physical and mental stress were also identified as participation outcomes. Accompanying the many benefits of PF, participants recognized negative impacts of discomfort, physical fatigue, and mental fatigue. Interventions such as seating modifications, thermotherapy to combat pain, napping to combat acute physical stress, and mental preparation to manage state anxiety were all identified as prospective interventions.
- Barriers to Physical Activity for Women with Physical Disabilities: A Systematic Review, opens in a new tab, Jurgi Olasagasti-Ibargoien, Arkaitz Castañeda-Babarro, Patxi León-Guereño, et al., Journal of Functional Morphology and Kinesiology, Volume 8(2), 82, (June 2023). Physical activity is essential for women with physical disabilities. This review aims to identify the barriers they face in practicing sport. A systematic review was conducted using the PubMed/Medline, Scopus, and Web of Science databases in January 2023, with an update in March 2023. This review identified different barriers, grouped into eight types according to the differentiating factor, thus showing that disable people’s participation in physical activity is directly related to some specific barriers which seem to differ according to their gender. Therefore, the success of participation in physical activities depends not only on the user’s concern, but also on an inclusive social environment.
- Investigating Strategies Used to Foster Quality Participation in Recreational Sport Programs for Children With Autism Spectrum Disorder and Their Perceived Importance, opens in a new tab, Emma Streatch, Natasha Bruno, Amy E. Latimer-Cheung, Adapted Physical Activity Quarterly, Volume 40(1), pp.86-104, (2023). Quality experiences in sport programming for children with autism spectrum disorder (ASD) can promote physical and psychosocial benefits and long-term quality participation (QP). Unfortunately, children with ASD often experience sport participation barriers and, consequently, participate less in sport compared with children without disabilities. This study investigated QP priorities and strategies that could foster QP for children with ASD. Caregivers (n = 13), volunteers (n = 26), and staff (n = 14) involved in sport programming for children with ASD rated experiential elements of QP using the Measure of Experiential Aspects of Participation. In addition , a two-round Delphi survey with staff (Round 1: n = 11; Round 2: n = 13) generated 22 strategies for promoting QP—each rated highly with regard to importance (5.69–6.85 on a 7-point scale). Strategies were substantiated with published research evidence. Findings informed the development of a QP tool designed to help instructors implement identified strategies in hopes of improving sport experiences for children with ASD.
- Adaptive Sports in Spinal Cord Injury: a Systematic Review, opens in a new tab, Ramsey Rayes, Charlotte Ball, Kenneth Lee, et al., Current Physical Medicine and Rehabilitation Reports, Volume 10, pp.145-153, (2022). Adaptive sports (AdS) have been shown to have positive health benefits as well as positive psychosocial benefits. Para-athletes often must overcome a variety of barriers to participation, such as transportation, accessibility, and socioeconomic factors. Facilitators to participation have also been identified, including pre-injury interest in sports, male sex, younger age, and more. In addition to well-known sports like handcycling and wheelchair basketball, adaptive sport continues to evolve, in part due to the COVID-19 pandemic, now including virtual options and E-sports. Para-athletes are also being more closely monitored and evaluated pre, peri, and post competition for injury and injury prevention, including in the realm of concussion management, requiring healthcare professionals, coaches, players, and all to gain further knowledge in adaptive sport and the participating para-athletes.
- Attitudes Toward People With Intellectual Disability Associated With Integrated Sport Participation, opens in a new tab, Carly Albaum, Annie Mills, Diane Morin, et.al., Adapted Physical Activity Quarterly, Volume 39(1), pp.86-108, (2022). This is the first study to examine implicit and explicit attitudes toward people with ID within the context of integrated sport experiences. Differences indicating small-sized effects emerged for explicit attitudes with Motionball participants reporting less discomfort (e.g., feelings of anxiety, fear toward individuals with ID) and sensitivity (e.g., feelings of sadness, pity) and more favorable attitudes about interaction (e.g., more likely to supervise a person with an ID at work, accept being advised by a person with an ID at a retail store) and knowledge of the capacity and rights of people that reflects more positive attitudes about ID compared with those who had not been involved with Motionball or SO.
- The Gatekeepers to Fitness: A Correspondence Study to Examine Disabling Practices Among Fitness Center Personnel, opens in a new tab, Sean Healy, Adapted Physical Activity Quarterly, Volume 29(2), pp.214-229, (2022). Fitness centers may be an ideal setting for physical activity, yet qualitative findings suggest social-level barriers constrain access for people with disabilities. To further test this, I employed an online message correspondence study to investigate the effect of impairment status on the responsiveness of a national sample of fitness centers to requests for services. Email requests were sent to 800 fitness centers, of which 200 were tailored to each of the four investigative conditions (i.e., control, vision loss, spinal cord injury, or being autistic). The odds of receiving a positive response were 40.5% lower for individuals with vision loss and 33.3% lower for individuals with spinal cord injury, as compared with individuals without an impairment. Specifically, the odds of receiving a positive response for personal training were 58.8% lower among individuals with vision loss and 41.1% lower for individuals with spinal cord injury.
- Parent-Reported Motivators and Barriers to Participation in a Community-Based Intervention Designed for Children With Motor Skill Difficulties: A Qualitative Program Evaluation, opens in a new tab, Kyrah Brown, Jerrise Smith, Tamaya Bailey, et.al., Adapted Physical Activity Quarterly, Volume 39(1), pp.109-128, (2022). Parents play a critical role in their child’s participation in community-based intervention programs. Yet, their perspectives remain largely overlooked in the literature. This qualitative program evaluation used social cognitive theory to understand parents’ motivators and barriers to participation in a community-based intervention program designed for children with motor skill difficulties. Parents (n = 15) of children with motor skill difficulties enrolled in a community-based intervention program participated in semistructured interviews. Thematic analysis revealed six motivators (child needs, satisfaction, perceived impact, affordability, design, and program culture) and three perceived barriers (parent knowledge, access, and accommodations). Parents’ motivators and barriers reflected a combination of personal and environmental factors consistent with social cognitive theory. This study revealed novel insight into program-related environmental motivators and barriers. Program leaders should consider ongoing evaluation and application of parental perspectives to optimize family participation and retention in community-based interventions.
- Quality of Participation Experiences in Special Olympics Sports Programs, opens in a new tab, Kelly Arbour-Nicitopoulos, Natasha Bruno, Krystn Orr, et.al. Adapted Physical Activity Quarterly, Volume 39(1), pp.17-36, (2022). This cross-sectional study examined experiential elements facilitating quality sport experiences for youth (ages 12–24 years) in Special Olympics, and the associated influences of sport program and sociodemographic characteristics. A total of 451 athletes involved in the 2019 Special Olympics Youth Games completed a survey assessing elements of quality participation (autonomy, belongingness, challenge, engagement, mastery, and meaning). The t tests investigated whether athletes with intellectual and developmental disabilities rated elements differently across Traditional and Unified Sport programs. Regression analyses explored whether sport program and sociodemographic characteristics were predictors of these elements. Youth reported high mean scores across the elements, with no significant differences between athletes with intellectual and developmental disabilities in Traditional or Unified Sport. Athletes with no reported disability rated higher autonomy than those who reported disability (p = .01). Women tended to report greater engagement in sport than men (p = .07). Findings provide theoretical and practical insights into quality sport participation among youth in Special Olympics.
- SPORTS STARS: a practitioner-led, peer-group sports intervention for ambulant children with cerebral palsy. Activity and participation outcomes of a randomised controlled trial, opens in a new tab, Georgina Clutterbuck, Megan Auld, Leanne Johnston, Disability and Rehabilitation, Volume 44(6), pp.947-955, (2022). Sports Stars included eight-weeks (eight hours) of physiotherapist-led, sports-specific gross motor activity training, sports education, teamwork development and confidence building. Sports participation was measured using self-identified participation goals. Physical competence was measured with mCOPM activity goals and high-level gross motor batteries and walking, running, jumping, and throwing. General participation and quality of life were also measured. Outcomes were measured pre, post and 12-weeks post-intervention. Sports Stars improves performance and satisfaction in sports-specific participation and activity goals for ambulant children with CP. Sports Stars improves sports-specific physical activity competence in locomotor and object control skills. Sport-specific interventions should incorporate sport-specific gross motor activity training as well as sports education, confidence building and teamwork.
- All aboard: users’ experiences of adapted paddling programs, opens in a new tab, Darien Merrick, Kyle Hillman, Alice Wilson, et.al., Disability and Rehabilitation, Volume 43(20), pp.2945-2951, (October 2021). The goal of this study was to explore the experiences of kayakers and paddle boarders in two adaptive paddling programs. Participants were children and adults requiring physical, cognitive, and/or psychosocial supports. Using an ethnographic approach, participant observations (n = 24) and semi-structured interviews (n = 11) were completed. Data were analyzed thematically. We identified three main themes. "Different Strokes" described the personal meaning participants ascribed to aspects of paddling, including valuing fun, exercise and relaxation. "Turning the Tide" illustrated the process of becoming a paddler, from doubting capacity to feeling competent. "Headwinds" explored paddlers' interactions with the broader social, institutional, and economic environments, such as inadequate funding and program aversion to risk. Programs offering a variety of adaptive paddle boarding and kayaking configurations enable paddlers to make valued choices about their participation. In addition to providing equipment and support to meet paddlers' functional abilities, program developers and clinicians should also consider individual preferences for exercise, socialization, risk taking, self-presentation of disability, and independence. People living with physical, cognitive, and/or psychosocial impairments perceive kayaking and paddle boarding as meaningful activities offering opportunities to exercise, have fun, achieve goals, socialize, and/or relax on the water. Kayakers and paddle boarders value equipment options that meet their physical and disability-disclosure preferences. Despite the existence of adaptive paddling programs, participation may be restricted by program availability, risk management policies, and leisure funding.
- Adolescents with intellectual disability (ID) and their perceptions of, and motivation for, physical activity and organised sports, opens in a new tab, Elisabeth Hansen, Helena Nordén, Marie Lund Ohlsson, Sport, Education and Society, (27 August 2021). Individuals with intellectual disability (ID) are less physically active than individuals without ID, and rarely reach the recommended daily level of physical activity (PA). Individuals with ID generally have a higher risk of hypertension and obesity-related cardiovascular diseases than individuals without ID. The aim of this study was to identify perceptions of, and motivation for, PA and sports among adolescents with ID. Twelve Swedish male and female adolescents with ID participated in the study, which comprised one semi-structured interview. The interviews identified three main categories: Activity, Surroundings and Body- and health awareness. Adolescents with ID seemed intrinsic motivated to participate in PA, organised sports and activities in general. Support from significant others, teachers, family and friends and support as well as the feeling of joy are connected to normative beliefs which all seem crucial. The participants were aware of their limitations, but sometimes feel bullied and afraid of being excluded, which relates to their normative beliefs. Participation in PA and organised sports may be positively associated with health, but limitations such as lack of awareness and support from society challenge the perception of ‘fitting in’.
- Task-specific training for bicycle-riding goals in ambulant children with cerebral palsy: a randomized controlled trial, opens in a new tab, Rachel Toovey, Adrienne Harvey, Jennifer McGinley, et.al., Development Medicine and Child Neurology, (22 August 2021). Sixty-two ambulant children with CP aged 6 to 15 years (33 males, 29 females, mean age 9y 6mo) with bicycle-riding goals participated in this multi-centre, assessor-blind, parallel-group, superiority randomized controlled trial. Children in the task-specific group participated in a physiotherapist-led, group-based, intensive training programme. Children in the parent-led home group were provided with a practice schedule, generic written information, and telephone support. Both programmes involved a 1-week training period. The primary outcome was goal attainment at 1 week after training measured using the Goal Attainment Scale. Secondary outcomes included bicycle skills, participation in bicycle riding, functional skills, self-perception, physical activity, and health-related quality of life at 1 week and 3 months after training. The task-specific physiotherapist-led training approach was more effective for attaining bicycle-riding goals than a non-specific parent-led home programme in ambulant children with CP.
- A review of adaptive sport opportunities for power wheelchair users, opens in a new tab, Jonathan Duvall, Shantanu Satpute, Rosemarie Cooper, et.al., Disability and Rehabilitation: Assistive Technology, Volume 16(4), pp.407-413, (2021). A structured literature review of the peer-reviewed scientific literature and analysis of major adaptive sport competitions information. Pubmed and Scopus were searched for the phrases “Power wheelchair sports” and “complex disability sport” to identify articles discussing competitive sport opportunities for power wheelchair users. Also, the websites and instructional materials were searched to identify what sports exist for power wheelchair users in the Paralympics, the National Veteran Wheelchair Games, the Invictus Games and the Warrior Games. This literature review identified few programs for sports for people who use power wheelchairs. Many challenges such as lack of appropriate technology, lack of programs, and challenging classification categories all interact to contribute to this problem. Opportunities exist for better and more appropriate technology to be developed and for new and innovative sports and rules to be adopted for these athletes to benefit more from sport and recreation.
- Individual and contextual predictors of retention in Special Olympics for youth with intellectual disability: who stays involved?, opens in a new tab Weiss JA; Robinson S; Harlow M; et.al., , Journal of Intellectual Disability Research, Volume 64(7), pp.512-523, (July 2020). Study participants were parents/caregivers of athletes with ID involved in community Special Olympics (SO), 11–22 years of age (N = 345). Participants completed an online survey in 2012 that included caregiver demographic and athlete intrapersonal, interpersonal and broader contextual variables. Retention rates for 2019 were determined using the SO provincial registration lists. Of the 345 survey participants, 81.7% remained active athletes in 2019. Caregiver demographic and athlete intrapersonal factors were largely unrelated to retention. In contrast, retention was associated with the frequency and number of sports athletes participated in, the perceived psychosocial gains of SO involvement and the environmental supports that were available to facilitate participation; frequency of sport participation was the strongest predictor of remaining a registered athlete. This study has implications for future initiatives aimed at increasing sport retention in a population that struggles to be engaged in sport. Efforts should focus on the athlete experience and sport-specific factors. Coaches and caregivers can foster positive experiences and play an important role in continued sport participation.
- Physical activity participation among adolescents with autism spectrum disorder, opens in a new tab, Patrick Jachyra, Rebecca Renwick, Barbara Gibson, et al., Autism, Volume 25(3), (September 2020). Adolescents with autism spectrum disorder are less likely to be physically active compared to their age-related peers. Despite the lower levels of physical activity observed among adolescents with autism spectrum disorder, it is unknown why they are predominantly inactive. Much of the research so far has focused on understanding how biological aspects influence physical activity participation. But there is little research that has examined how social and cultural components influence their physical activity participation. There is also little research that has sought the perspectives and experiences of adolescents with autism spectrum disorder. In this study, 10 adolescent boys with autism spectrum disorder created a digital story, and also participated in two face-to-face interviews. The purpose of the study was to examine how individual, social, and cultural forces influenced physical activity participation. Analysis of the data highlight that bullying, challenges in community programs, and the prioritization of therapeutic interventions limited participation. On the contrary, participants were more likely to be active when physical activity generated meaning, purpose, a sense of identity, and affective pleasures. The findings add new knowledge suggesting that adolescents with autism spectrum disorder are not simply unmotivated. Rather, physical activity participation was shaped by wider social experiences, norms, values, and practices in which they were immersed. The findings suggest a need for directed efforts to create policies and practices which are individualized and reflective of the needs and abilities of adolescents with autism spectrum disorder to promote physical activity participation and potentially enhance physical health and wellbeing.
- Development and Validation of a Tool for Assessing Barriers to Participation in Team Sports for Women with Physical-Mobility Disabilities, opens in a new tab, Forough Bakhtiary, Mahvash Noorbakhsh, Parivash Noorbakhsh, et.al., Annals of Applied Sport Science, Volume 9(s1), (2020). One of the most important tasks of physical education managers is to remove the barriers to participation in physical activities. Disabled people face more barriers to sports participation than nondisabled people, and women with physical-mobility disabilities experience numerous barriers. Identifying these barriers requires a comprehensive, valid and reliable questionnaire that is capable of assessing barriers so that we can provide solution to remove these barriers by using this tool and the results of this research in the next steps. The results of the present study resulted in the identification of 10 factors, including individual, structural, psychological, managerial, media support, the role of coach, economic, psychological factors related to pitiful and disrespectful attitudes, supportive public social and cultural-religious factors. The personal conditions of the disabled people affect their sport participation. Physical problems, lack of family support for the disabled family member, lack of understanding of the usefulness of sports activities, lack of knowledge of how to participate in sports, inability to leave home due to inappropriate place of residence, and lack of a companion and teammate are considered as individual barriers for disabled women.
- Attention-deficit/hyperactivity disorder in elite athletes: a narrative review, opens in a new tab, Han DH, McDuff D, Thompson D, et al., British Journal of Sports Medicine, Volume 53(12), pp.741-745, (2019). Attention-deficit/hyperactivity disorder (ADHD) is a common brain developmental disorder in the general population that may be even more prevalent in elite athletes in certain sports. General population studies of ADHD are extensive and have reported on prevalence, symptoms, therapeutic and adverse effects of treatment and new clinical and research findings. However, few studies have reported on prevalence, symptoms and treatments of ADHD in elite athletes. This narrative review summarises the literature on symptoms, comorbidities, effects of ADHD on performance and management options for elite athletes with ADHD. The prevalence of ADHD in student athletes and elite athletes may be 7%–8%. The symptoms and characteristics of ADHD play a role in athletes’ choice of a sport career and further achieving elite status. Proper management of ADHD in elite athletes is important for safety and performance, and options include pharmacologic and psychosocial treatments.
- “Sport saved my life” but “I am tired of being an alien!”: Stories from the life of a deaf athlete, opens in a new tab, Thomas Irish, Francesca Cavallerio, Katrina McDonald, Psychology of Sport and Exercise, Volume 37, pp.179-187, (July 2018). This study explores the ways in which a deaf athlete's experiences of participation in sport can affect his psychological and social well-being, and how social and interpersonal relationships play a role in shaping these experiences. Five story fragments taken from a deaf athlete's life are presented, in relation to key moments of the athlete's life. The stories show how social relationships affect the athlete's experience of sport participation, spanning from an enthusiastic inclusion in playing sport with hearing and non-hearing peers, to the feelings of alienation felt due to social exclusion from hearing sport events, and the hopelessness deriving from a lack of understanding of the specific needs that come from coaching a deaf person.
- Physical activity levels of adults with various physical disabilities, opens in a new tab, Ellen de Hollander, Karin Proper, Preventive Medicine Reports, Volume 10, pp.370-376, (June 2018). This study examined the physical activity (PA) levels of people with specific disabilities, using health care registration data. Data of 321,656 adults (83%) from the Dutch Public Health Monitor 2012 were used to assess adherence to the World Health Organization (WHO) PA guidelines (%) and the time (min/week) spent on moderate-to-vigorous-intensity and vigorous-intensity PA. Although there are organisations that provide adaptive sports specifically for people with physical disabilities, this population may still experience barriers to exercise, or there may be a lack of such facilities in their neighbourhood. Previous studies have shown that for instance shame, pain, inadequate transportation, inaccessible accommodations, inappropriate sports offer without suitable guidance may pose barriers. Regardless of self-reported activity limitations, adults with objectively measured disabilities, especially those with physical disabilities, had lower PA levels compared to adults without physical and sensory disabilities.
- Factors impacting participation in sports for children with limb absence: a qualitative study, opens in a new tab, Batoul Sayed Ahmed, Marena Lamy, Debra Cameron, et.al., Disability and Rehabilitation, Volume 40(12), pp.1393-1400, (2018). This study uses a descriptive qualitative study design. Nineteen participants, consisting of children and their parents, were recruited from an outpatient hospital clinic for semi-structured interviews. The 11 interviews were audio recorded and transcribed. Analysis of our participant interviews identified six themes as having an influence on sport participation: “functionality of prosthesis”, “plan in advance”, “know what I can do” (understanding capabilities), “it’s like every stroke, 2 million questions” (stigma and the social environment), “love for the game” (love for sport), and “these things are an investment” (the investment involved). The findings have the potential to inform the development and implementation of strategies to increase levels of participation in sports among children with limb absence. Information from this study may help to deepen the rehabilitation team’s understanding of factors that impact engagement in sports among children with limb absence.
- Understanding low levels of physical activity in people with intellectual disabilities: A systematic review to identify barriers and facilitators, opens in a new tab, L.W.M.Bossink, Annette AJ van der Putten, Carla Vlaskamp, Research in Developmental Disabilities, Volume 68, pp.95-110, (September 2017). People with intellectual disabilities (ID) undertake extremely low levels of physical activity. A systematic search was performed using the following databases from the year 1990: MEDLINE, ERIC, and PsycINFO. The studies included were peer reviewed, available as full text, and written in English, addressing barriers to and facilitators of physical activity in people with ID. The quality of the studies was assessed using existing critical review forms. All studies were subjected to qualitative synthesis to identify and compare barriers and facilitators. In all, 24 studies were retrieved, describing 14 personal and 23 environmental barriers and/or facilitators. The quality of the studies varied, particularly for qualitative studies. Only two studies included people with severe or profound ID. Stakeholder groups tend to identify barriers outside their own responsibility.
- Enabling inclusive sport participation: Effects of disability and support needs on constraints to sport participation, opens in a new tab, Darcy S, Lock D and Taylor T, Leisure Sciences, Volume 39(1), 1-21, (2017). Despite enabling legislation, studies in Australia, the United Kingdom and the United States have found that persons with disability participate in sport at lower rates than the general population. This paper presents the results of a national study examining the constraints to sport participation for people with disability. Liaising with over 100 disability organisations from across Australia; a total of 1046 surveys were completed – 53% from persons with disability and 47% from family/friends. Respondents engaged in 125 different sport and active recreation activities; with 50% of participation from organised sports, 32% from unorganised and 18% from partially organised activities. The findings showed that disability type and level of support needs explain significant variations in constraints to participation. The level of support needs was the most significant indicator of the likelihood of participation or non-participation.
- Sport Participation for Elite Athletes With Physical Disabilities: Motivations, Barriers, and Facilitators, opens in a new tab, Gabriella McLoughlin, Courtney Weisman Fecske, Yvette Castaneda, et al., Adapted Physical Activity Quarterly, Volume 34(4), pp.421-441, (2017). There are many reasons why individuals are motivated to participate in sports. Less attention, however, is given for studying motivation and athlete development in adapted sport. The purpose of this study was to identify the motivations, facilitators, and barriers to sports participation of elite athletes with a physical disability. Participants (N = 23, 17 males, six females, mean age: 24.3 years) were recruited through online listservs, e-mails, and snowball sampling. A semistructured interview guide was employed. Analysis was conducted and grounded in self-determination theory and literature surrounding barriers and facilitators of sports participation. Through coding by multiple researchers, six themes emerged. Themes indicated that athletes attributed participation to constructs of self-determination theory as well as overcoming specific barriers such as cost, time constraints, and lack of opportunity. Among facilitators to their athletic development, there were empowerment and advocacy, increased health, college scholarships, and achieving performance-related goals.
- A systematic review of review articles addressing factors related to physical activity participation among children and adults with physical disabilities, opens in a new tab, Kathleen Martin Ginis, Jasmin Ma, Amy Latimer-Cheung, et.al., Health Psychology Review, Volume 10(4), pp.478-494, (June 2016). In this systematic review, over 200 factors were extracted from 22 review articles addressing barriers and facilitators to LTPA in children and adults with physical disabilities. Factors were grouped according to common themes, classified into five levels of a social ecological model, and coded according to whether they could be affected by the health-care and/or recreation sectors. Findings are discussed with regard to key factors to target in LTPA-enhancing interventions, relevant theories and models in which to frame interventions, the levels at which the interventions can be implemented, and intervention priorities. The synthesis provides a blueprint and a catalyst for researchers and practitioners to shift focus from conducting studies that merely describe LTPA barriers and facilitators, to developing and delivering strategies to increase LTPA among persons with physical disabilities.
- Impact of Organized Sports on Activity, Participation, and Quality of Life in People With Neurologic Disabilities, opens in a new tab, Sahlin KB; Lexell J, PM&R: the journal of injury, function, and rehabilitation, Volume 7(10), pp.1081-1088, (October 2015). In this narrative review, current evidence regarding the impact of organized sports on activity, participation, and quality of life in people with neurologic disabilities of all ages is summarized, and facilitators of and barriers to participation in sports for this population are discussed. The subjects of almost all of the studies were persons with a spinal cord injury. Children and adolescents with a disability who engaged in sports reported self-concept scores close to those of able-bodied athletes, as well as higher levels of physical activity. Adults with a spinal cord injury who engaged in organized sports reported decreased depression and anxiety, increased life satisfaction, and increased opportunity for gainful employment compared with nonathletic persons with disabilities. General facilitators, regardless of age, were fitness, fun, health, competence, and social aspects, whereas overall barriers were lack of or inappropriate medical advice and facilities, decreased self-esteem, poor finances, dependency on others, and views held by others.
- Sports participation of individuals with major upper limb deficiency, opens in a new tab, Mihai Bragaru, Rienk Dekker, Pieter Dijkstra, et.al., British Journal of Sports Medicine, Volume 49(5), pp.330-334, (February 2015). The aim of this study was to analyse sports participation of individuals with upper limb deficiency (ULD) and associated factors. Individuals with ULD originating from the Netherlands were invited, via their attending physiatrist or prosthetist, to answer a digital or paper questionnaire. The questionnaire consisted of 34 items related to personal characteristics, type of deficiency and participation in sports. Of the 175 respondents, 57% participated in sports for at least 60 min/week (athletes). Results of logistic regression analyses indicated that the presence of an additional health problem hindering sports participation (β=-1.31, p<0.001) and a more proximal onset of the limb deficiency (β=0.76, p=0.022) had a negative influence on sports participation. For individuals with an acquired ULD, a medium education level (β=0 0.77, p=0.108) and participation in sports before their amputation (β=1.11, p=0.007) had a positive influence on sports participation. The desire to stay healthy and the pleasure derived from sports participation represented the main reasons for participation in sports according to athletes. The presence of an additional medical problem and a lack of motivation were reasons for non-athletes to not participate in sports. The majority of individuals with ULD participate in sports regularly. The presence of an additional medical problem, as well as the level of ULD, educational level and participation in sports before amputation, was related to participation in sports.
- Physical Activity and School-Age Individuals With Visual Impairments: A Literature Review, opens in a new tab, Justin Haegele, David Porretta, Adapted Physical Activity Quarterly, Volume 32(1), pp.68-82, (2015). The purpose of this article was to review published research literature on physical activity for school-age individuals with visual impairments by describing study characteristics and major findings. Eighteen articles met all inclusion criteria, and relevant data such as participants, visual-impairment levels, theory, measurement, and dependent variables were extracted from them. Major findings suggest that low physical activity levels of school-age individuals with visual impairments may be related to perceived participation barriers including the availability of appropriate opportunities rather than visual acuity or educational setting.
- Barriers and facilitators of sports in children with physical disabilities: a mixed-method study, opens in a new tab, Eva Jaarsma, Pieter Dijkstra, Alida de Blécourt, et.al., Disability and Rehabilitation, Volume 37(18), pp.1617-1625, (2015). This study explored barriers and facilitators of sports participation of children with physical disabilities from the perspective of the children, their parents and their health professionals. Thirty children and 38 parents completed a questionnaire, and 17 professionals were interviewed in a semi-structured way. Data from the three groups were combined in a mixed-method design, after which the results were triangulated. Mean age (SD) of the children was 14.1 (2.9) years old, 58% were boys. Sixty-seven percent of the children had cerebral palsy and 77% participated in sports after school. Most commonly practiced sports were swimming, cycling and football. Children specifically experienced dependency on others as a barrier, parents did not have enough information about sports facilities, and professionals observed that the family’s attitude had influence on the child’s sports participation. Facilitators were health benefits, fun and social contacts. Sports participation of children with physical disabilities is a complex phenomenon because children, their parents and professionals reported different barriers. Sports participation is more physically challenging for children with severe physical disabilities, as their daily activities already require much energy. However, the psychosocial benefits of sports are applicable to all children with physical disabilities.
- European study of frequency of participation of adolescents with and without cerebral palsy, opens in a new tab, Susan Michelsen, Esben Flachs, Mogens Damsgaard, et al., European Journal of Paediatric Neurology, Volume 18(3), pp.282-294, (May 2014). Children with cerebral palsy participate less in everyday activities than children in the general populations. During adolescence, rapid physical and psychological changes occur which may be more difficult for adolescents with impairments. Adolescents with cerebral palsy spent less time with friends and had less autonomy in their daily life than adolescents in the general populations. Adolescents with cerebral palsy participated much less in sport but played electronic games at least as often as adolescents in the general populations. Severity of motor and intellectual impairment had a significant impact on frequency of participation, the more severely impaired being more disadvantaged. Adolescents with an only slight impairment participated in some domains as often as adolescents in the general populations. Regional variation existed. For example adolescents with cerebral palsy in central Italy were most disadvantaged according to decisional autonomy, while adolescents with cerebral palsy in east Denmark and northern England played sports as often as their general populations.
- Barriers to and facilitators of sports participation for people with physical disabilities: A systematic review, opens in a new tab, Jaarsma E, Dijkstra P, Geertzen J and Dekker R, Scandinavian Journal of Medicine and Science in Sport, Volume 24(6), pp.871-881, (2014). Too few people with physical disabilities regularly participate in sports. Therefore, understanding what presents a barrier to participation, as well as what factors facilitate participation, should be helpful to program planners. This study provides an overview of the literature focusing on barriers to, and facilitators of, sports participation for people with various physical disabilities. The most common barrier was health status (personal factor); and lack of facilities, transportation, accessibility of facilities (environmental factors). Facilitating factors were fun, improved health and social contacts. Experiencing barriers to, and facilitators of, sports participation was dependent on age and type of disability. Regular sports participation was greatest when the selection of the sport was appropriate.
- Examining the participation patterns of an ageing population with disabilities in Australia, opens in a new tab, Sotiriadoua P and Wickera P, Sport Management Review, Volume 17(1), pp.25-48, (2014). The purpose of this study is to fill this gap in the literature and examine the participation patterns of people with disabilities. This study advances the following three research questions: (1) what are the participation patterns of people with disabilities? (2) what factors constrain participation in physical activity by people with disabilities? and (3) what groups can participants and non-participants with disabilities be classified into?. The results indicate that 57.2% of the persons with disabilities participated in some form of physical activity at least once per week and 39.1% three times or more per week. The top five activities were walking, followed by swimming gymnasium workouts, cycling, aerobics exercises. The variables ‘restriction’ and ‘work hours’ had a negative impact on frequency of participation, while education had a positive impact. Once people made the decision to participate in physical activity, they participate quite frequently. The top five activities that were identified in the survey are all health and fitness related. With regard to constraints, it became evident that ‘intrapersonal’ and ‘structural’ constraints were the dominant ones. The identified constraints of the ageing population in Australia need to be considered in ways that would allow pathways (i.e., sport development outputs) for people with disabilities, both participants and non-participants, to progress from one level of sport development to another. Finally, the implications for programs and policy considerations must be cost effective, suitable to people's constraints, and sustainable over long periods of time. These pathways may vary from sport to sport (e.g., individual vs. team sports, high to low physically demanding sports, etc.).
- Facilitators and Barriers to Physical Activity as Perceived by Older Adults With Intellectual Disability, opens in a new tab, Marieke van Schijndel-Speet; Heleen M. Evenhuis; Ruud van Wijck; et.al., Intellectual and Development Disabilities, Volume 52(3), pp.175-186, (2014). Older people with intellectual disability (ID) are characterized by low physical activity (PA) levels. PA is important for reducing health risks and maintaining adequate fitness levels for performing activities of daily living. The aim of this study was to explore preferences of older adults with ID for specific physical activities, and to gain insight into facilitators and barriers to engaging into PA. Fourteen in-depth interviews and four focus groups were undertaken, with a total of 40 older adults with mild and moderate ID included in the analysis. In total, 30 codes for facilitators and barriers were identified. Themes concerning facilitators to PA were enjoyment, support from others, social contact and friendship, reward, familiarity, and routine of activities. Themes concerning barriers to PA were health and physiological factors, lack of self-confidence, lack of skills, lack of support, transportation problems, costs, and lack of appropriate PA options and materials. The results of the present study suggest that older adults with ID may benefit from specific PA programs, adapted to their individual needs and limitations. Results can be used for developing feasible health promotion programs for older adults with ID.
- Perceived exercise benefits and barriers among power wheelchair soccer players, opens in a new tab, J P Barfield, Laurie A Malone, Journal of Rehabilitation Research and Development, Volume 50(2), pp.231-238, (April 2013). Lack of exercise is a major risk factor for secondary conditions among persons dependent upon motorized wheelchairs. Power wheelchair soccer is a unique exercise opportunity for this population, and understanding factors that influence exercise decision-making is necessary for clinicians to help those in motorized chairs reduce their secondary risk. Therefore, this study examined differences in perceived benefits and barriers to exercise among power wheelchair soccer players using a mixed-methods analysis. The most common perceived benefit to exercise was "Exercising lets me have contact with friends and persons I enjoy." Post hoc comparisons of quantitative data indicated that persons with muscular dystrophy perceived exercise to be significantly less important than did other disability groups (p < 0.05). "Exercise is hard work for me," "Exercise tires me," and "There are too few places for me to exercise" were the most common perceived barriers. These findings can assist with development of exercise opportunities for power wheelchair users.
- A Universal Design Guide for creating Inclusive Sport in Australia, opens in a new tab, Paralympics Australia, (2024). This Guide can act as a valuable reference for sports representative bodies adopting inclusive practices, as well as sports clubs and venues that want to get started on the journey. It addresses structural, process and attitudinal barriers to inclusivity and universal design and comprises: Definitions of accessibility, inclusivity and universal design; How to adopt an inclusive mindset and language; Motivating case studies; Focus activities for universal design; Practical guides for: hosting a universal design kick-off meeting, developing inclusive strategy, producing accessible documentation, and designing accessible inclusive digital experiences. A ‘living document’, through user testing, the guide will be refined and updated as Paralympics Australia builds its presence and activity to make Australian sport accessible and inclusive.
- Disability and Physical Activity Program Evaluation Toolkit, opens in a new tab, Canadian Disability Participation Project, (August 2023). Organizations that provide physical activity programs for individuals with disabilities are often required to do evaluations to secure funding, show impact to board members and stakeholders, and understand their ability to grow. However, programs are difficult to evaluate due to their complexity and competing organizational priorities. There are also very few resources to support evaluation activities and methods. The toolkit is informed by the RE-AIM framework, which is comprised of five evaluation dimensions: Reach; Effectiveness; Adoption; Implementation; Maintenance.The toolkit will allow you to select indicators from each of these dimensions to ‘build’ an evaluation plan. In the plan, you will be provided with measures that fit each indicator. You will also find basic resources on how to use the toolkit, a glossary of terms, and tips for doing evaluation.
- Volunteers and Coaches Training Manual, opens in a new tab, WA Disabled Sports Association, (2023). A participant centered approach to sport and recreation means the needs of the individual are put before the needs of the club/school/parents/coach. Participants should feel empowered to be make choices and be involved in their sport and recreation development. WADSA place emphasis on participation and the creation of a fun and safe environment. We highlight the creation of an environment where all participants are valued and encouraged.
- Story-Based Practical Resource for Coaches and Coach Educators in Disability Sport, opens in a new tab, Canadian Disability Participation Project, (November 2021). This creative nonfiction (i.e., an evidence-informed short story) was created as a learning tool for disability sport coaches in entry level and developmental coaching domains. This tool is meant to demonstrate and provide information about coach behaviours that facilitate quality experiences for athletes with disabilities. This tool can be supported by the accompanying question guide to stimulate reflection and dialogue on the situations and behaviours described in the story.
- Autism Inclusion in Sport, Recreation and Physical Education - Webinar 1, opens in a new tab, Special Olympics Australia, YouTube, (5 June 2020). This webinar will provide a general understanding of Autism Spectrum Disorder and the challenges a person with autism may face. Presenters provide practical strategies about how to support people with autism in sport, recreation, or physical education programs.
- Suncoast Spinners Reverse Inclusion, opens in a new tab, Suncoast Spinners, YouTube, (13 November 2018). Reverse Inclusion aims to deliver a truly inclusive sporting opportunity where people of all abilities can play sport together on an equal playing field (court). The importance of access to sport and the benefits of inclusion practices within the wider community are major awareness aims of the program.
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